pharm 1.2- six rights

prescriber

writes order for medication

pharmacist

fills the order of medication

6 rights of medication administration

patient, drug, dose, router time, documentation

right patient check

use 2 identifiers (ex. barcode scanning, verbalize name and DOB, check bracelet)

right drug check

check generic name (trade name if applicable)

right dose check

checking unit dose (can be stock systems or dispensing systems), dosage ordered, and dosage dispensed

unit dose

individually wrapped dosage with dose and drug labeled

stock system

how medications are dispensed for home use

dispensing system

supply of medication on a unit (plexus or omnicell)

3 times to check correct medicine

getting it, preparing, before administering

right route check

check if it is a enteral, cutaneous or parental route, have correct route

enteral routes

PO, SL, buccal, NGT, PEG

topical routes

creams, ointments, sprays, powders, patches, inhaled (PDI, MDI, Neb, OS, OD, OU, AS, AD, AU, nasal, vaginal, PR)

parental routes

Im, SQ, ID, IV, IVP, IVPB

right time check

check for the frequency of the medication given or the special instructions, check standard/military time

right documentation check

document on MAR- document always after mediation is given, include relevant information, legible handwriting

always on MAR

allergies, dose, route of administration, 5 rights (not document) , can have bp or pulse (if necessary consideration)

not on MAR

controlled substance schedule, drug classification, number of capsules to give

types of orders

VO, TO, single order, stat, asap, standing orders, protocols

standing order

general order for a group of patients on a unit (ex. acetaminophen for headache)

protocol

a set of rules for specific patients all with the same specific condition, has medication rules, when to stop/start out change protocol (ex. heparin or insulin)